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Registration Form
 PERSONAL DATA
Mr. Ms.
First Name:
Family Name:
Identity document:
Number:
Nationality:
Date of birth:
Format: dd/mm/yy
Personal Address:
Zipcode:
City/Town:
Province / Country / State:
Tel.:
Fax:
E-mail:
Repeat E-mail:
Institutional affiliation - Department Company:
Title (Dr/Prof/Student):
Terms:
Required fields
INVOICE DETAILS (if different than the above)
Initially the invoice will be fill in with the information provided in this registration form. If you need any change in your invoice, please use the box below:
Institution Name:
Institution Address:
Zipcode:
City/Town:
Province:
Tel.:
Fax:
E-mail:
VAT Number:

 REGISTRATION
   
Earlybird registration fee: March 25th, 2019
Regular registration fee: From March 26th, 2019 to May 15th, 2019
Last call registration fee: From May 16th, 2019
Standard (**)
515,00 €
565,00 €
595,00 €
Postgraduate Students (full conference fees) (**) (***)
425,00 €
475,00 €
505,00 €
Accompanying person (*)
255,00 €
255,00 €
285,00 €
Additional contributions
125,00 €
155,00 €
185,00 €
Additional page (4 pages max.) (****)
100,00 €
100,00 €
100,00 €
(*) Co-authors attending the conference CANNOT apply for this reduced rate; they should apply for the standard rate. Reduced rates are ONLY applicable to postgraduate students and accompanying persons (they include lunches and dinners).
(**) The Standard, POSTGRADUATE STUDENTS (Full conference fees) registrations include lunches and dinners.
(***) Postgraduate students must provide proof of their status with a copy of their student card sent with the registration form. The document has to be presented when collecting the documentation.
(****) A charge of 100€ will be applied for each extra page (up to a maximum of 4 extra pages).

 NB&PL CONTRIBUTION

I DO NOT SUBMIT ANY CONTRIBUTION

1st CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
2nd CONTRIBUTION  
(Earlybird registration fee: March 25th, 2019: €125 / Regular registration fee: From March 26th, 2019 to May 15th, 2019: €155 / Last call registration fee: From May 16th, 2019: €185)
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
3rd CONTRIBUTION  
(Earlybird registration fee: March 25th, 2019: €125 / Regular registration fee: From March 26th, 2019 to May 15th, 2019: €155 / Last call registration fee: From May 16th, 2019: €185)
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
4rd CONTRIBUTION  
(Earlybird registration fee: March 25th, 2019: €125 / Regular registration fee: From March 26th, 2019 to May 15th, 2019: €155 / Last call registration fee: From May 16th, 2019: €185)
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
5rd CONTRIBUTION  
(Earlybird registration fee: March 25th, 2019: €125 / Regular registration fee: From March 26th, 2019 to May 15th, 2019: €155 / Last call registration fee: From May 16th, 2019: €185)
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page

 HOW TO PAY
Bank Transfer

Bank transfer for CONFERENCE FEES, payable to UNICAJA bank

Account Number: 2103 2214 5200 3615 0464
IBAN: ES88 2103 2214 5200 3615 0464
B.I.C. / Swift Code: UCJAES2MXXX

Owner of the Account Number: (Technical Secretariat)
CONGRESUAL, S.L.L. (VAT number: B-37495116)
Address: C/ Camelias, 470 -37449 –Galindo y Perahuy (Salamanca) Spain.

Send a copy of the transfer to this newsletter indicating the concept of payment by email to the mailbox: nbplregistration@congresual.com


Only VISA or MasterCard Credit Cards
You will be transferred directly to the secure on-line payment (directly with the bank).
This process will be done through the secure area of the bank.
This is an automatic process. If you have any problem, please contact with your bank.


 VALIDATION CODE
Validation Code:
Generar nuevo código
Barcelona on June 12th-14th 2019
 
Springer

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Barcelona, Spain 2018